Individual
PHILIP RANDALL FRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1602 WILBUR RD SW, ROANOKE, VA 24015-3626
(540) 988-4150
Mailing address
1602 WILBUR RD SW, ROANOKE, VA 24015-3626
(541) 913-5971
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
DO22957
OR
2084P0800X
Psychiatry Physician
Primary
OP00002302
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256897
L&I AND CRIME VICTIMS
WA
05
—
181443
—
OR
05
—
1982677928
—
WA
01
—
4763FR
REGENCE
WA
01
—
7113382
AETNA
WA
05
—
8521452
—
WA
Enumeration date
02/09/2006
Last updated
11/28/2018
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